| NPI | 1275697039 |
|---|---|
| Doing Business As | SURGERY CLINIC |
| Entity Type | Organization |
| Authorized Contact | DARLA S NEDERHOFF Clinic Manager 641-648-7101 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: IA 420156H) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-12-03 |